Is this insurance right for you?
Several industry groups, government offices and consumer advocates offer tips to help understand long term care insurance.
Here are some of their suggestions and questions to ask, as well as some telephone numbers and addresses for further information.
Realize how the policies work
Most provide a fixed amount of coverage for each day in a nursing home or for home health care services like a visiting nurse, adult day care and other such services. Usually it’s from $30 to $100 or so a day. Some cover assisted living communities, which provide assistance with activities like eating, dressing and bathing. Almost all require a deductible period. Understand what the policy covers . . .
Does it require prior hospitalization before paying benefits in a nursing home or starting home health care, as some older policies do? Will it pay only for skilled nursing care, where you get 24-hour nursing and rehabilitative care? If so, this could be a problem if you need only custodial care, like help with eating or bathing. How long will the policy pay; consumer groups recommend three years as a minimum. . . . and what it doesn’t cover
Policies sold in Florida must include coverage for such things as Alzheimer’s disease, but they often don’t pay for mental illness, alcohol or drug addiction, treatment paid for by another insurer or the government, and attempted suicide. Your medical history does matter
Don’t let an agent tell you otherwise. You can be denied coverage for an existing condition, like heart disease or Alzheimer’s, if you have it when you try to buy the policy. Don’t buy insurance you can’t afford
This sounds simple but think about it. Some analysts recommend you spend no more than 10 percent of your annual income on such policies - unless you have large assets you want to protect if you get sick, like a house, business or stocks and bonds. If you are getting by on Social Security and have few assets, it might not make sense.
Consider buying inflation protection
This is important especially if you think you won’t use the policy for a few years. Nursing homes in Florida cost about $80 to $100 a day, which is usually what the policies cover after a deductible period that often runs 100 days. But the costs have risen quickly in recent years and there is little reason to expect it to stop. Without buying the inflation rider on the policy, you could be stuck with benefits that don’t cover the cost of your nursing home or home health care. Florida requires companies to offer at least a 5 percent annual inflation protection as an option.
You’re protected from cancellation
In Florida your policy can’t be canceled, unless you don’t pay or you lie about your medical history. But your long term care insurance rates can go up, if they are raised for all policyholders. The insurance is not cheap
Comprehensive policies that cover nursing home and home health care, with inflation coverage and coverage for from three years to lifetime, likely will cost from $1,000 to $2,000 a year per person for someone who buys a policy at age 65. There is usually a discount if a couple buy the coverage together. The cost increases quickly - sometimes doubling or quadrupling - if the policy isn’t purchased until age 75 or later. Some companies won’t sell to people over age 79. Check for group insurance coverage
Many businesses are adding the policies as an optional benefit for their employees. Such group plans can lower the annual premiums.
Review your old policy
Many of the critical comments about long term care insurance quotes involve older policies that set rigorous standards before paying benefits. A newer policy, with more lenient benefits, might work better - although it likely will cost more than what you are paying. Don’t feel pressured to buy
You have the right to take the company’s policy and review it with family, friends or your attorney.
Check out the agent or company- make sure the agent or company is licensed to sell in Florida. Call the Insurance Department’s Consumer Helpline at (1-800) 342-2762. You have a 30-day free-look period
By state law you can review the policy for 30 days and then cancel it for a full refund. If you return it, the Florida Department of Insurance recommends you do it by registered or certified mail.



